한의치료와 ‘마음의 방 그리기’를 활용한 공황장애 치험 1례 보고 = A Case Report on Panic Disorder Patient Using the ‘MRM (Mentalizing the Rooms of Mind)’ and Korean Medicine Therapy

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder.
Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55).
Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment.
Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

참고문헌 (Reference)

1 황선혜, "항우울제 복용환자에 대한 한의치료와 M&L심리치료 활용 2례보고" 대한한방신경정신과학회 28 (28): 73-81, 2017

2 이희정, "한의학적 정신치료와 M&L 심리치료를 통한 전환장애 환자 치험 1례" 대한한방신경정신과학회 29 (29): 197-206, 2018

3 이고은, "한의학 칠정(七情)에 기반을 둔 핵심감정평가척도 개발 연구" 대한한방신경정신과학회 26 (26): 143-160, 2015

4 강영복, "한방치료와 미술치료를 병행한 공황장애 환자 1例 보고" 대한한방신경정신과학회 19 (19): 313-320, 2008

5 한경희, "한국판 MMPI-2의 개발 연구" 한국임상심리학회 25 (25): 533-564, 2006

6 이현주, "한국인에게 나타나는 공황장애의 신체적 증상 및 유발 요인의 특징" 대한신경정신의학회 58 (58): 339-345, 2019

7 이희정, "북한이탈주민의 심신증상에 대한 M&L 심리치료와 한의치료 치험2례 보고" 대한한방신경정신과학회 27 (27): 185-196, 2016

8 이성용, "마음챙김 명상과 이정변기요법을 이용한 공황장애 그룹치료 효과에 대한 임상적 고찰" 대한한방신경정신과학회 25 (25): 319-332, 2014

9 박종민, "마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례" 대한한방신경정신과학회 25 (25): 73-84, 2014

10 유수양, "마음의 방 그리기에 관한 양적, 질적 분석 연구" 대한한방신경정신과학회 28 (28): 275-286, 2017

11 김지훈, "광장공포증을 동반한 공황장애 환자의 1례 보고 - 발병초기부터 관찰한 내용을 중심으로 -" 대한한방신경정신과학회 19 (19): 251-264, 2008

12 서호석, "공황장애의 한국형 최신 치료지침" 대한의사협회 61 (61): 493-499, 2018

13 장현채, "공황장애 환자에서 공존 주요 우울증과 연관된 임상요인들" 대한불안의학회 10 (10): 17-23, 2014

14 김종환, "공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고" 대한한방신경정신과학회 29 (29): 305-314, 2018

15 이승환, "공황장애 치료에 대한 중의학의 임상연구 동향" 대한한방신경정신과학회 26 (26): 161-170, 2015

16 서호준, "공황장애 인지행동치료의 최신 지견" 대한불안의학회 12 (12): 47-55, 2016

17 서주희, "가정폭력 피해여성들의 사건충격과 정서 그리고 삶의 질에 대한 M&L 트라우마 심리치료 프로그램의 효과에 대한 임상연구" 대한한방신경정신과학회 26 (26): 79-88, 2015

18 권종준, "不安 및 不安病症에 대한 한의학적 연구" 대한한방신경정신과학회 16 (16): 159-169, 2005

19 Moon Joo Cheong, "Validation of the Core Seven-Emotions Inventory – short form" 한국한의학연구원 8 (8): 116-119, 2019

20 Kim JH, "Types of Mindfulness Meditation and Their Implications for Cognitive Behavioral Therapy" 4 (4): 27-44, 2004

21 The Institute of Mind Humanities, "The place of mind study: from mind to environment" Knowledge Community 111-134, 2019

22 The Textbook Compilation Committee of Neuropsychiatry of Korean Medical Schools in Nation, "The Neuropsychiatry of Oriental medicine" JipmoonDang 715-720, 2016

23 서진우, "SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례" 대한한방신경정신과학회 18 (18): 157-164, 2007

24 Butcher JN, "Psychological assessment of airline pilot applicants with the MMPI-2" 62 (62): 31-44, 1994

25 Min SG, "Modern Psychiatry" Iljogak 297-, 2015

26 Han KH, "Minnesota multiphasic personality inventory-2 manual" Maumsarang 9-142, 2011

27 Kang HW, "Meditation Therapy for Panic Disorder-Stop, Awareness, Deliberately Practice" The Minjok Medicine News

28 이유진, "M&L 자기성장 명상프로그램의 효과에 대한 연구" 대한한방신경정신과학회 25 (25): 225-234, 2014

29 American Psychiatry Association, "DSM-5: Diagnostic and statistical manual of mental disorders" Hakjisa 221-, 2015

30 Kim JS, "Current Status and Problems of Cognitive Behavior Therapy in Korea" 3 (3): 1-7, 2003

31 Kwon SM, "Contemporary Abnormal Psychology" Hakjisa 177-, 2013

32 Cho WY, "Comparison of the Effectiveness between Combined Therapy and Pharmacotherapy for Panic Disorder" 4 (4): 73-83, 2004

33 Jang HH, "A review of the Traditional Concept of Psychologic Therapy in Oriental Medicinespecially about Oh-Ji-Sang-Seung(五志相勝療法) Therapy-" 12 (12): 11-27, 2001

34 Kwon BH, "A Study on Kyungja-pyungji treatment, and Behavior and Cognitive therapy" 12 (12): 47-57, 2001

35 Jang HJ, "A Case of Combination Therapy of Cognitive - Behavioral Therapy and Oriental Medical Treatment On Panic Disorder" 15 (15): 211-219, 2004